la medecine
Du JUDO
1. Scand
J Med Sci Sports 2000 Oct;10(5):292-7
2. Ital J Neurol Sci
1998 Dec;19(6):367-72
3. Br Dent J 2000 May
13;188(9):473-4
4. Int J Sports Med 2000 Apr;21(3):175-9
5. Br J Sports Med 2000 Feb;34(1):23-8
6. Chir Narzadow Ruchu Ortop
Pol 1998;63(4):321-7
7. Med Sci Sports Exerc
1998 Sep;30(9):1356-62
8. J Am Podiatr Med Assoc
1998 Jun;88(6):268-78
9. Scand J Med Sci Sports
1998 Apr;8(2):116-9
10. Rehabilitation (Stuttg) 1998
Feb;37(1):36-43
11. Z Rheumatol 1997 Dec;56(6):342-50
12. Br J Sports Med 1997 Dec;31(4):346-7
13. J Am Osteopath Assoc 1997 Apr;97(4):221-6
14. Br J Sports Med 1996 Mar;30(1):72-4
15. J Clin Endocrinol Metab 1995
Dec;80(12):3639-46
16. Neuropediatrics 1994 Apr;25(2):106-8
17. Kinderarztl Prax 1993 Oct;61(7-8):264-8
18. Br J Sports Med 1993 Jun;27(2):110-2
19. J Sports Med Phys Fitness 1992
Jun;32(2):214-20
20. J Sports Med Phys Fitness 1991
Dec;31(4):627-8
21. J Sports Med Phys Fitness 1991
Dec;31(4):605-10
22. Acta Orthop Belg 1991;57(4):442-6
23. Acta Orthop Belg 1990;56(3-4):625-7
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Scand J Med
Sci Sports 2000 Oct;10(5):292-7
Influence of trauma induced by judo
practice on postural control.
Perrot C, Mur JM, Mainard D, Barrault D,
Perrin PP.
Equilibration et Performance Motrice, UFR STAPS,
University Henri Poincare-Nancy 1,
Villers-les-Nancy, France.
Although high-level sports develop specific physiological
and sensorimotor abilities involved in balance control, they also
increase the risk of injuries. The influence on postural control
of lower limb trauma induced by judo practice was examined in healthy
and previously injured judoists (PIJ). During static and dynamic
tests, performed with or without vision, PIJ achieved the best
performances in maintaining proper balance, except for those with
the most severe antecedents of trauma. The severity of the pathology
appeared to be the most important parameter prejudicial to balance
control while the location, frequency and diversity of trauma had
only a modest impact. This shows that PIJ develop excellent sensory
and cognitive adaptation abilities to constraints
involving new patterns of compensation and of body scheme.
Top
Ital J Neurol Sci 1998 Dec;19(6):367-72
Long-term effects of boxing and judo-choking
techniques on brain function.
Rodriguez G, Vitali P, Nobili F.
Department of Internal Medicine, University of
Genova, Italy.
Regional cerebral blood flow (rCBF) was measured
by 133-xenon inhalation in 24 amateur and 20 professional boxers,
and in 10 judoka. Results were compared with those from age- and
sex-matched healthy controls. Eighteen boxers (9 amateurs and 9
professionals) and all judoka also underwent electroencephalography
(EEG). Mean rCBF values did not differ between either
amateur boxers orjudoka and controls, whereas in professional boxers
rCBF was significantly (p<.001) reduced in the whole brain, especially
in the frontocentral regions. Healthy subjects, judoka, and amateur
boxers showed a similar distribution of global CBF (gCBF, the mean
of 32 probes) values, although 12.5% of amateurs had a significantly
lower gCBF than controls. Among professional boxers, 25% showed
a significantly low gCBF value; in the remaining 75%,
gCBF was below the mean value of controls but did not reach statistical
significance. Regional hypoperfusion, mainly in the frontocentral
regions of both sides, was found in 35% of professional and in 29%
of amateur boxers. A correlation between gCBF values and number
of official matches was not found in boxers. EEG was normal in all
judoka and amateur boxers, but it was
abnormal in 3 professionals. This study shows the relevance of the
neurophysiological assessment
of athletes engaged in violent sports which can cause brain impairment.
In fact, while professional boxers may show brain functional impairment
in comparison to normal subjects, judoka do not.
The lack of correlation between CBF values in boxers and the number
of official matches points to the difficulty of taking into account
variables, such as the number and the severity of matches during
training.
Br Dent
J 2000 May 13;188(9):473-4
Mouth protection in sport in Scotland--a
review.
Holmes C.
Centre for Dental Education, University of Edinburgh.
The oral health strategy for Scotland, which was
published in 1995, recommends that dentists promote the use of mouth
protection in sport to reduce the risk of injury. There is compulsory
mouthguard use in some sports including ice-hockey, fencing, boxing,
lacrosse and some forms of autocycling. In cricket, face protection
appears to be compulsory for batsmen only. The use of mouth protection
in the martial arts is compulsory at international level but, in
the UK, the rule
does not seem to be always enforced at club level. Players of contact
sports, such as rugby and hockey, are considered to be more at risk
of dentoalveolar injury and the governing bodies of these sports
recommend that players at all levels wear mouth protection but have
not made it mandatory.
Top
Int J Sports Med 2000 Apr;21(3):175-9
The effects of physical exercise on the
concentrations of ferritin and transferrin receptor in plasma of
female judoists.
Malczewska J, Blach W, Stupnicki R.
Department of Nutrition Physiology, Institute of
Sport, Warsaw, Poland. insp@insp.waw.pl
The aim of the study was to assess the effect of
physical exercise on the changes in
concentrations of ferritin and soluble transferrin receptor (sTfR)
in plasma in course of 10 consecutive days of a training camp. Ten
female elite judoists, aged 17-23 years, participated in the study.
Mean concentration of ferritin for the 10 day period was 62.8 x
1.633(+/-1) microg/l, the within-subject, day-to-day variability
being very high (13-75%). Ferritin concentrations were
significantly correlated with the training load on the preceding
day (r = 0.397; p < 0.001). Mean level of sTfR was 2.56 x 1.291(+/-1)
mg/l and its within-subject variability was much lower (4-16%).
Although the training loads had an effect on the intravascular hemolysis
as indicated by a significant, negative correlation between load
scores and haptoglobin concentration (r = -0.282; p < 0.01),
the latter was not correlated significantly with sTfR levels. It
was concluded that the
soluble transferrin receptor is a more stable indicator of iron
status under high training loads since, unlike ferritin, it does
not respond to the workload on the preceding day. Moreover, the
intravascular hemolysis observed in athletes does not affect the
sTfR levels in plasma.
Br J Sports Med 2000 Feb;34(1):23-8
Neutrophil function response to
aerobic and anaerobic exercise in female judoka and untrained subjects.
Wolach B, Falk B, Gavrieli R, Kodesh E,
Eliakim A.
Department of Pediatrics, Meir General Hospital,
Kfar Saba, Israel.
OBJECTIVES: Recent studies have indicated reduced
immunity in trained athletes. AIM: To assess the effects of aerobic
and anaerobic exercise on the phagocytic process in 18-26 year old
trained female judoka (n = 8) and untrained controls (n = 7). METHODS:
Each subject participated randomly in two different testing sessions
(aerobic, 20 minutes of treadmill running at 70-80% of maximal heart
rate; anaerobic, Wingate anaerobic test). Venous blood samples were
drawn before, immediately after, and 24 hours after each session.
RESULTS: There were no significant differences in basal values of
net chemotaxis (chemotaxis--random migration), bactericidal activity,
and superoxide anion release between the judoka and the untrained
women.
There was a significant decrease in net chemotaxis 24 hours after
the aerobic exercise in both the judoka (from 64 (19) to 39 (13)
cells/field, p < 0.02) and the untrained controls (from 60 (7)
to 47 (12) cells/field, p < 0.05). Bactericidal activity and
superoxide anion release did not change significantly after aerobic
exercise in either group. There were no significant changes in net
chemotaxis, bactericidal activity, and superoxide anion release
after anaerobic exercise in either the judoka or untrained women.
CONCLUSIONS: The decrease in net chemotaxis after aerobic, but not
after anaerobic, exercise, suggests that net chemotaxis is affected
by the combination of exercise intensity and duration, and not by
the exercise intensity itself. Similar effects of both exercise
sessions in the judoka and the untrained women suggest that training
had no effect on neutrophil function response to aerobic and anaerobic
exercises.
Top
Chir Narzadow Ruchu Ortop Pol
1998;63(4):321-7
[Nonoperative treatment of acute, grade
III acromioclavicular dislocation
in judo competing athletes]
[Article in Polish]
Zarzycki W, Lorczynski A, Ziolkowski W.
Katedra i Klinika Ortopedii, Akademia Medyczna
w Gdansku.
Complete acromioclavicular separation is frequent
injury during practice of judo. Fourteen athletes aged 17-33 (mean
23) were treated non-operatively. All patients received cryotherapy
and Velpeau bandage for two weeks, intensive rehabilitation of the
shoulder followed. The patients were reviewed after mean 4.5 years
(range 3-7 years). A 100-point scale designed specifically for this
study, inclusive of pain, function, strength, range of motion and
return to preinjury level of sports activity was used for clinical
assessment. Follow-up radiographs were compared to those taken immediately
after injury but no correlation with clinical results has been
found. Eight results were rated excellent (90-100 points), 5 results
good (80-89 points) and one result was fair (70-79 points). Short
period of immobilization and early rehabilitation seems to be efficient
management in highly active individuals.
Med Sci Sports Exerc
1998 Sep;30(9):1356-62
Spectral analysis of electroencephalography
changes after choking in judo
(juji-jime).
Rau R, Raschka C, Brunner K, Banzer W.
Department of Sports Medicine, Institute of Sports
Sciences of the Johann Wolfgang Goethe
University, Frankfurt/Main, Germany.
PURPOSE: The present study was carried out to investigate
possible electroencephalographic changes induced by choking in judo
(shime-waza) by means of spectral analysis and brain mapping. METHODS:
Power spectral changes in Electroencephalography (EEG) were recorded
in six experienced judoka who underwent a choking trial with a "shime-waza
choking" technique
called juji-jime. RESULTS: A significant increase of global field
power in the delta- and theta-range occurred, while physiological
alpha-power decreased. These changes in the low-frequency range
reached a statistically significant level within a time span up
to 20 s after choking, which was performed at an average choking
time of 8 s. In no case did choking provoke neuropsychological symptoms.
Yet, spectral EEG-analysis revealed subclinical changes of brain
function. CONCLUSIONS: Choking in judo may induce subclinical electroencephalographic
perturbations. The extent and duration can be objectified by means
of spectral analysis of EEG data, global field power computation,
and brain-mapping representation.
Top
J
Am Podiatr Med Assoc 1998 Jun;88(6):268-78
Foot and ankle injuries among martial artists.
Results of a survey.
Burks JB, Satterfield K.
Winona Memorial Hospital, Indianapolis, IN 46280,
USA.
The practice of the martial arts is associated
with a variety of lower-extremity injuries. Previous studies of
the martial arts have examined injuries to the entire body, while
providing only limited information on trauma to the foot and ankle.
After a comprehensive review of the literature on martial arts injuries,
the authors report the results of a survey on foot and ankle injuries
sustained by martial arts practitioners.
Scand J
Med Sci Sports 1998 Apr;8(2):116-9
A study of sports-related mandibular angle
fracture: relation to the
position of the third molars.
Yamada T, Sawaki Y, Tohnai I, Takeuchi
M, Ueda M.
Department of Oral Surgery, Nagoya University School
of Medicine, Japan.
Mandibular angle fractures have been considered
attributable to the presence of unerupted third molars. We examined
the relationship between the incidence of sports-related mandibular
angle fractures and the presence of a mandibular third molar with
emphasis on the position of the third molar. The incidence of angle
fracture was significantly higher in the sports-related injury group
than in the group with fracture due to other causes (P < 0.05).
The incidence of angle fracture in the athletes with higher impaction
scores was significantly higher than that in the subjects with higher
scores who did not have sports-related fractures (P < 0.05).
The percentage of rugby athletes with third molars was significantly
higher than that of those without third molars (P <0.001), and
a high proportion of young athletes (89.5%) was considered to belong
to a potential high-risk group for angle fractures. Our findings
suggest that mandibular angle fractures are influenced by the presence
and characteristics of the third molar in sports-related injuries.
Top
Rehabilitation (Stuttg) 1998
Feb;37(1):36-43
[Experiences and effects with 6 years of
judo training in ambulatory
rehabilitation of bronchial asthma in childhood]
[Article in German]
Kriegel VG.
Otto-von-Guericke-Universitat Magdeburg Institut
fur Erziehungswissenschaft, Magdeburg.
In view of backing up the potential for as normal
a life as possible in the presence of chronic obstructive respiratory
disease, quality rehabilitation concepts have for some ten years
been discussed which recommend satisfactory levels of motor activity
in particular during childhood and youth as a factor in stabilizing
long-term health. A difficult prerequisite in this respect is choosing
a sport adapted to the child's age and condition as well as providing
adequate motivation, along with awareness of exercise- and training-induced
stress and strain reactions.
Several years of experience with Judo have shown that, in an ambulatory
rehabilitation setting, the needs of schoolchildren with bronchial
asthma too, may be answered by this competitive sport provided that
several didactic and methodological premises are heeded. In light
of its holistic educational approach and intermittent stress and
strain profile, Judo is cut out for facilitating
integration in the social community, hence contributing toward valuable
personality characteristics and growth in a rehabilitative context
in the face of the long-term course of the illness.
Z Rheumatol 1997 Dec;56(6):342-50
[Traumatic finger polyarthrosis in judo
athletes: a follow-up study]
[Article in German]
Strasser P, Hauser M, Hauselmann HJ, Michel
BA, Frei A, Stucki G.
Rheumaklinik, Universitatsspital, Zurich.
Osteoarthritis is the most common joint disease.
In addition to known risk factors e.g. genetics,
age and hormonal status it has been suggested that chronic-repetitive
micro- and substantial (macro-) injury may play an important pathogenetic
role. In a longitudinal case-study we examined Judo-players for
clinical and radiological changes of the finger joints over the
course of 16 years. All examined 8 players demonstrated soft tissue
changes including Heberden nodes and radiological changes typical
for osteoarthritis of the finger joints. Changes were symmetrical
and were not restricted to joints with tendon ruptures or fractures
in the anamnesis. Degenerative changes were progressive and more
pronounced in active players. Subjectively, symptoms were usually
mild. Extensive Judo seems to be a risk factor for the development
of osteoarthritis of the finger joints due to chronic-repetitive
micro- and substantial (macro-) injury.
Top
Br J Sports Med 1997 Dec;31(4):346-7
Stroke without dissection from a neck holding
manoeuvre in martial arts.
McCarron MO, Patterson J, Duncan R.
Department of Neurology, Southern General Hospital,
Glasgow.
Carotid artery trauma is a known cause of stroke
in young people. The vessel may occlude, dissect or shower thrombotic
emboli into intracranial vessels. This paper reports the use of
single photon emission computed tomography (SPECT) imaging in a
29 year old man who developed an embolic stroke after neck holding
manoeuvres at a martial arts class. Awareness of the potential consequences
of these procedures is matched by the need for rapid and accurate
diagnosis of stroke now that thrombolytic and neuroprotective treatments
are emerging, which
are effective only within a short time window.
J Am Osteopath
Assoc 1997 Apr;97(4):221-6
Martial arts injuries.
Wilkerson LA.
Center for Sports Medicine, Orthopaedics, and Family
Practice, Kissimmee, Fla, USA.
In the United States, approximately 1.5 million
to 2 million persons practice the martial arts. It is the general
belief that martial arts are safe, with little thought given to
the physical forces involved. Some enthusiasts gravitate to the
martial arts to learn self-defense, whereas others participate to
improve cardiovascular fitness, flexibility, and self-esteem. Some
join for the structured exercise programs, whereas others desire
the artistic expression or have a need to compete. Injuries
involve the head and neck region, trunk, and extremities. Soft tissue
trauma, hematomas, and lacerations are some of the most common injuries.
Occasionally fractures occur, most often involving the hands and
digits. The neurosurgical literature indicates that wearing headgear
increases the shearing injury to nerve fibers and neurons in the
brain in proportion to the degree of acceleration to the head. Three
case presentations illustrate death resulting from anterior chest
trauma.
Top
Br J Sports Med 1996 Mar;30(1):72-4
Complete avulsion of the hamstring tendons
from the ischial tuberosity. A
report of two cases sustained in judo.
Kurosawa H, Nakasita K, Nakasita H, Sasaki
S, Takeda S.
Sapporo Seikeigeka-Junkankika Hospital, Japan.
Rupture of the hamstring tendon is a rare injury.
Two cases of complete rupture of the hamstring tendons sustained
while playing judo are reported. The diagnosis of a rupture of the
hamstring tendons was difficult from physical examination because
of severe pain on knee or hip joint movement. Magnetic resonance
imaging was non-invasive and showed the lesion clearly. In one of
these two cases the less satisfactory results of non-operative treatment
were clearly shown in
both isokinetic muscle force evaluation and sports activities.
Acute injuries in soccer, ice hockey, volleyball,
basketball, judo, and
karate: analysis of national registry data.
Kujala UM, Taimela S, Antti-Poika I, Orava
S, Tuominen R, Myllynen P.
Unit for Sports and Exercise Medicine, University
of Helsinki, Finland.
OBJECTIVE--To determine the acute injury profile
in each of six sports and compare the injury rates between the sports.
DESIGN--Analysis of national sports injury insurance registry data.
SETTING--Finland during 1987-91. SUBJECTS--621,691 person years
of exposure among participants in soccer, ice hockey, volleyball,
basketball, judo, or karate. MAIN OUTCOME
MEASURES--Acute sports injuries requiring medical treatment and
reported to the insurance company on structured forms by the patients
and their doctors. RESULTS--54,186 sports injuries were recorded.
Injury rates were low in athletes aged under 15, while 20-24 year
olds had the highest rates. Differences in injury rates between
the sports were minor in this adult age group. Overall injury rates
were higher in sports entailing more frequent and powerful body
contact. Each sport had a specific injury profile. Fractures and
dental injuries were most common in ice hockey and karate and least
frequent in volleyball. Knee injuries were the most common cause
of permanent disability. CONCLUSIONS--Based on the defined injury
profiles in the different sports it is recommended that sports specific
preventive measures should be employed to decrease the number of
violent contacts between athletes, including improved game rules
supported by careful refereeing. To prevent dental injuries the
wearing of mouth guards should be encouraged, especially in ice
hockey, karate, and basketball.
Top
J Clin Endocrinol Metab
1995 Dec;80(12):3639-46
Hypoestrogenemia and rhabdomyelysis (myoglobinuria)
in the female
judoist: a new worrying phenomenon?
De Cree C, Lewin R, Barros A.
Department of Applied and Experimental Reproductive
Endocrinology, Institute for Gyneco-Endocrinological Research, Leuven,
Belgium.
It is now well established that strenuous engagement
in aerobic endurance sports may cause menstrual problems and hypoestrogenemia-related
phenomena, such as osteoporosis. The present study was designed
to assess whether the competitive practice of female judoists produces
specific physiological changes in menstruation and bone and muscle
metabolism. A test group of 17 white female judoists (mean VO2max,
50.9 +/- 2.8 mL/kg.min; mean percent body
fat, 16.3 +/- 3.3%), a reference group of oarswomen, and a group
of sedentary women participated in this study. Specific metabolic
parameters were determined before and after a heavy 5-week pre-Olympic
training period. With regard to anthropometrical characteristics,
after a period of intensive training, female judoists significantly
differed (P < 0.05) from their pretraining values for percent
body fat (-2.2%) and number of oligomenorrheic individuals (+28.4%).
Mean
baseline posttraining luteal phase plasma levels of estrone (78
+/- 26 pmol/L), estradiol (85 +/- 70 pmol/L), LH (7.6 +/- 2.8 IU/L),
and progesterone (13.4 +/- 3.1 nmol/L) were significantly lower
than those in both reference groups, although pretraining values
did not significantly differ from those in a group of oarswomen.
Luteal phase posttraining urinary parameters of muscular catabolism
(3-methylhistidine, 367 +/- 30 mmol/day) and collagen turnover (hydroxyproline,
678 +/- 14 mumol/L) were significantly higher than those in a group
of oarswomen (3- methylhistidine, 183 +/- 18 mmol/day; hydroxyproline,
196 +/- 21 micrograms/mL). Total plasma spontaneous monocyte interleukin-1
activity, an experimental parameter for bone turnover and formation,
was significantly higher (P < 0.05) in both female judoists (15.8
+/- 3.0% max) and oarswomen (7.1 +/- 1.8% max) than in sedentary
women (5.2 +/- 2.2% max). These findings were accompanied by a subjective
feeling of musculotendinous soreness and fatigue. Posttraining values
for blood diagnostic enzymes, such as creatinine phosphokinase,
glutamic oxalacetic transaminase, lactic dehydrogenase, and uric
acid exceeded 2-5 times maximal normal laboratory reference values.
We believe that these overtraining-like findings should be further
examined to study the eventual causal relationship between hypoestrogenemia
and rhabdomyelysis (myoglobinuria) and to fully understand the extent
of these results and their importance to the female athlete's health.
Neuropediatrics
1994 Apr;25(2):106-8
Vertebral-artery dissection following a
judo session: a case report.
Lannuzel A, Moulin T, Amsallem D, Galmiche
J, Rumbach L.
Service de Neurologie, CHU Jean Minjoz,
Besancon, France.
A few days after a judo session, an 11-year-old
boy presented with an ischemic stroke with dizziness, aphasia and
ataxia. CCT scan revealed a left thalamic infarct. Angiography showed
a fibromuscular dysplasia (FMD) of the left vertebral artery probably
complicated by dissection.
Subsequent evolution was favorable. This observation points out
the fact that the association of a cervical pain with neurological
signs of vertebrobasilar stroke, especially occurring after a cervical
trauma or rotatory motion, should alert to the possibility of vertebral-artery
dissection. The diagnosis is mainly based on angiographic criteria.
Accurate diagnosis has implications for prognosis and probably for
acute medical treatment.
Top
Kinderarztl
Prax 1993 Oct;61(7-8):264-8
[Judo in a training group for children
with asthma]
[Article in German]
Huhnerbein J, Achtzehn R, Kriegel V.
Klinik fur Kinderheilkunde, Medizinischen Akademie
Magdeburg.
15 asthmatics of 7-14 years of age were trained
in a special judo training group together with healthy children.
The step-like training programme was composed in such a manner that
an exercise-induced bronchospasm was kept as low as possible whereas
the coordination, flexibility, physical and psychical resistance
were improved. By means of adapted lung function tests the children
were controlled, the aim was not so much to prove an improvement
of functional values but rather to avoid injuries. Reactions confirmed
by means of the sensitive
flow-volume curve method did not present any clinical problems.
Exercise-induced reactions occurred most frequently, if at all,
after a warming-up phase and in the middle of the 14 training weeks.
Both at the end of every lesson and at the end of the whole training
course the number and internity of reactions decreased. Children
suffering from exercise-induced asthma could be trained by means
of judo sport without any problems. A combatant sport, such as judo,
is particularly qualified for the improvement of motivation, coordination,
dexterity and integration into the community of healthy children
to increase self-confidence. Asthma sport groups are a medical and
paedagogical necessity.
Br J Sports
Med 1993 Jun;27(2):110-2
Effectiveness of functional ankle taping
for judo athletes: a comparison
between judo bandaging and taping.
Yamamoto T, Kigawa A, Xu T.
Department of Sports Medicine, International Budo
University, Japan.
This study was conducted to compare the effectiveness
of the traditional method of ankle bandaging and the new method
of ankle taping for judo athletes in Japan, and to introduce a functionally
effective taping method for judo players. Four university judo athletes
with ankle instability were selected to undertake radiography of
the ankles before and after exercise, with bandaging at one time
and taping at the other. Talar tilt (TT) angles were measured in
order to
compare the ankle-supporting effects. The results showed that the
old ankle bandaging method had no role in eliminating the talar
tilt during judo practice. In contrast, the new taping method was
more effective in eliminating the talar tilt and supporting the
involved ankles both mechanically and functionally.
PMID: 8358580 [PubMed - indexed for MEDLINE]
Top
J Sports Med Phys Fitness
1992 Jun;32(2):214-20
Trends in sports injuries, 1982-1988: an
in-depth study on four types of
sport.
Tenvergert EM, Ten Duis HJ, Klasen HJ.
Department of Traumatology, University Hospital
of Groningen, The Netherlands.
In this study, we analyzed the records of both
inpatients and outpatients which were treated for acute sports injuries
in the Trauma Department of the University of Groningen (The Netherlands)
during the years 1982 to 1988. We examined whether there was a trend
in sports injuries in this time period. The study comprised four
types of sports, i.e., soccer, volleyball, gymnastics, and martial
arts. The absolutely highest rates of injuries across the seven
years were found in soccer, followed by gymnastics, volleyball,
and martial arts. Injuries sustained at participating in soccer,
volleyball, and gymnastics involved for the major part the lower
extremities, followed by injuries
of the upper extremities, whereas the reverse pattern was observed
for patients who participated in martial arts. For all four types
of sport, the ankle and foot were the most frequently site of injury
of the lower extremities. Sprains and strains were the major types
of injury. Most injuries were seen at ages between 10 and 30 years.
The ratio of male to female patients within age groups did not differ
significantly across the seven years. We concluded that, except
for martial
arts, the increased participation in sports in the last decade was
not accompanied with a change in the patterns of sports injuries
by the patients' age, sex, and number and nature of the injury.
This consistency in results can be used to guide the development
of prevention programs aimed at
a reduction of injuries in specific sports.
J Sports Med Phys Fitness 1991
Dec;31(4):627-8
Judo as a possible cause of anoxic brain
damage. A case report.
Owens RG, Ghadiali EJ.
Sub-Department of Clinical Psychology, University
of Liverpool, England.
The rules of judo provide for strangulation techniques
in which the blood supply to the brain is blocked by pressure on
the carotid arteries; such techniques produce anoxia and possible
unconsciousness if the victim fails to submit. A case is presented
of a patient with signs of anoxic brain damage, with psychometric
investigation showing memory disturbance consistent with a left
temporal lobe lesion. This patient had been frequently strangled
during his career as a judo
player; it is suggested that such frequent strangulation was the
cause of the damage. Such an observation indicates the need for
caution in the use of such techniques.
Top
J Sports
Med Phys Fitness 1991 Dec;31(4):605-10
Judo and choking: EEG and regional cerebral
blood flow findings.
Rodriguez G, Francione S, Gardella M, Marenco
S, Nobili F, Novellone G, Reggiani E,
Rosadini G.
Institute of Neurophysiopathology, University of
Genoa, Italy.
Ten judoka were examined at rest by EEG and regional
Cerebral Blood Flow (rCBF) (133-Xenon inhalation method); in seven
of them a syncope was induced by choking and EEG was recorded during
the loss of consciousness while rCBF was measured immediately after
recovery. Baseline EEG and rCBF examinations were normal. During
choking, EEG showed diffuse 2-3 Hz. high voltage waves, predominantly
in the anterior regions, then the EEG gradually recovered to normal.
After choking, rCBF decreased in all but one subject, slightly in
four and
more markedly in two. Our findings suggest that there is no evidence
of permanent CNS functional changes due to judo practice and choking.
The variable rCBF features soon after choking-induced syncope may
reflect a different timing of recovery from cerebral ischemia for
each subject.
Acta Orthop Belg 1991;57(4):442-6
Dorsal dislocation of the distal end of
the ulna in a judo player.
Russo MT, Maffulli N.
Hospital S. Maria della Misericordia, Department
of Orthopaedics, Sorrento, Italy.
A 32-year-old policeman injured his left wrist
while engaged in judo training. A distal radio-ulnar dislocation,
ulna dorsal, was reduced under general anesthesia, but, as the distal
radio-ulnar joint was unstable, a Liebolt's ligamentous reconstruction
procedure and a partial excision of the triangular fibrocartilage
complex were carried out. The patient could resume his job eight
weeks
after the operation, and light training after a further six months.
The need for proper physical examination and accurate radiographic
positioning is stressed.
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Acta Orthop Belg 1990;56(3-4):625-7
Damage of the long thoracic and dorsal
scapular nerve after traumatic
shoulder dislocation: case report and review of the literature.
Jerosch J, Castro WH, Geske B.
Orthopedic Department, Heinrich-Heine University,
Dusseldorf, Germany.
A judo injury resulted in an anterior shoulder
dislocation with a concomitant lesion of the long thoracic and the
dorsal scapula nerve. This injury led to loss of function and extreme
instability of the shoulder. Stabilization of the glenohumeral joint
was successfully accomplished by surgery.
The athlete declined further operative approaches
to stabilize the scapula. The patient was able to return to the
former level of athletic activity.
A study in tearing of Achilles’ tendon
occurring during judo practice
Hiroyuki Mitsuhashi (*), Noboru Hashimoto
(**), Tetsuo Kudo (**),
Tadashige Tomita(*)
(*Japanese society of judo Therapy) (**Tokyo Metropolitan
Judo Sekkotsushi-kai Inc)
Abstract
I. Objective
Currently, the surrounding situation with judo has been experiencing
transformation in various aspects. They lie in facilities and rules
corresponding to the improvement in athletes’ physical strength
as seen in other sports. At the same time, it should be stressed
that tremendous transformation has been found in injuries occurring
during practice.
Among all the injuries occurring during judo practice, we can identify
tearing of the muscles in lower-thigh, calf, and abdominal muscles
and tearing of the Achilles’ tendon, as major injuries especially
in lower-thigh area. Most of these injuries are said to occur by
switching in forward-back directional movement as well as excess
practice, lack of conditioning, lower-leg malalignment, and taking
a bad form. However, in addition, tatami at practicing facilities
or condition of the floor is considered to have significant association
with the injuries. Thus, we examined the injuries in lower thigh
area occurring during judo practice, especially that of tearing
of the Achilles’ tendon. As a result, we found that different
from other sports, during judo exercise, injuries in transitional
part from the Achilles’ tendon to muscle tendon (upper part)
occur more frequently than injuries in contracting part of the Achilles’
tendon (center), which occur more frequently during other sports
practice. Therefore, we investigated the association between particularity
of judo exercise and the upper Achilles’ tendon injury, and
introduce its treatment by the judo arrange-recovery technique.
II. Method
1. Peripheral information at injury occurrence
Age, length of practice, frequency of practice, situation at injury,
and time it took before occurring.
2. Condition of facilities
The condition of the floor and tatami at the exercising facilities.
3. Comparison with injury area
Using the examination of the injury, compare the areas of tendon
torn and damaged occurring during judo practice and those occurring
during other sports, and investigate the distinctive causing factors
during the judo practices.
4. The treatment for early recovery
Comparison in different treatment techniques and progress
III. Summary
The occurrence of tearing of the Achilles’ tendon in general
sport practice is significantly affected by the basic movement:
running and jumping. However, during judo practice, it should be
stressed that the weight on a pivot foot, the malalignment of the
supporting lower-leg, and unexpected external force affect on the
injuries. In order to promote prevalence of judo as a life long
exercising sport, it is extremely important that not only instructors
but also participants obtain knowledge of injuries and that understanding
should lead us to prevent the occurrence of injuries.
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